Whalio Doctors

NPI 1033154794

Lisa D Fairchild, MD

Practitioner Pediatrics Physician Vicksburg, MS

Practice location

Address
2100 Highway 61 N, Vicksburg, MS 39183-8211
Phone
(601) 883-5000

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 16733 (MS)

Registry record

NPI
1033154794
Entity type
Individual
Sex (as registered)
Female
NPI issued
18 Jun 2006
Record last updated
10 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.